Form ADV: LD-3 "Affidavit of Loss of Original Tax Sale Certificate/Tax Deed" - Alabama

What Is Form ADV: LD-3?

This is a legal form that was released by the Alabama Department of Revenue - a government authority operating within Alabama. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on September 1, 2016;
  • The latest edition provided by the Alabama Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form ADV: LD-3 by clicking the link below or browse more documents and templates provided by the Alabama Department of Revenue.

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Download Form ADV: LD-3 "Affidavit of Loss of Original Tax Sale Certificate/Tax Deed" - Alabama

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A
D
R
LABAMA
EPARTMENT OF
EVENUE
P
T
D
ADV: LD-3
Affidavit of Loss of Original
ROPERTY
AX
IVISION
9/16
Tax Sale Certificate/Tax Deed
The undersigned, being duly sworn, deposes and affirms as follows:
1. The undersigned is an adult who resides at:
_________________________________________________________________________________________________________
ADDRESS
And is the legal and beneficial owner or is acting in a representative or fiduciary capacity with respect to the following tax sale
purchase:
_________________________________________________________________________________________________________
PARCEL NUMBER
_________________________________________________________________________________________________________
NAME OF PURCHASER
2. The undersigned does further affirm that the original Tax Sale Certificate/Tax Deed has been:
Lost
Stolen
Destroyed
3. That the original Tax Sale Certificate/Tax Deed was not endorsed.
4. That the original Tax Sale Certificate/Tax Deed has not, in whole or part, been assigned, transferred, pledged or otherwise dis-
posed of in any manner whatsoever, and that no person or entity other than the undersigned has any right, title, claim or interest in
the same.
5. The undersigned agrees that if the original Tax Sale Certificate/Tax Deed should ever come into the undersigned’s hands, by
power of custody, the undersigned will immediately and without consideration surrender the original Tax Sale Certificate/Tax Deed
to the Alabama Department of Revenue.
_________________________________________________________________
_______________________________________
SIGNATURE
DATE
_________________________________________________________________
PRINTED NAME
Sworn to before me this day: __________________________________________
DATE
_________________________________________________________________
_______________________________________
NOTARY PUBLIC
EXPIRATION OF COMMISSION
This affidavit and a $5.00 cashier’s check or money order may be mailed to:
Alabama Department of Revenue
Property Tax Division
P.O. Box 327210
Montgomery, AL 36132-7210
A
D
R
LABAMA
EPARTMENT OF
EVENUE
P
T
D
ADV: LD-3
Affidavit of Loss of Original
ROPERTY
AX
IVISION
9/16
Tax Sale Certificate/Tax Deed
The undersigned, being duly sworn, deposes and affirms as follows:
1. The undersigned is an adult who resides at:
_________________________________________________________________________________________________________
ADDRESS
And is the legal and beneficial owner or is acting in a representative or fiduciary capacity with respect to the following tax sale
purchase:
_________________________________________________________________________________________________________
PARCEL NUMBER
_________________________________________________________________________________________________________
NAME OF PURCHASER
2. The undersigned does further affirm that the original Tax Sale Certificate/Tax Deed has been:
Lost
Stolen
Destroyed
3. That the original Tax Sale Certificate/Tax Deed was not endorsed.
4. That the original Tax Sale Certificate/Tax Deed has not, in whole or part, been assigned, transferred, pledged or otherwise dis-
posed of in any manner whatsoever, and that no person or entity other than the undersigned has any right, title, claim or interest in
the same.
5. The undersigned agrees that if the original Tax Sale Certificate/Tax Deed should ever come into the undersigned’s hands, by
power of custody, the undersigned will immediately and without consideration surrender the original Tax Sale Certificate/Tax Deed
to the Alabama Department of Revenue.
_________________________________________________________________
_______________________________________
SIGNATURE
DATE
_________________________________________________________________
PRINTED NAME
Sworn to before me this day: __________________________________________
DATE
_________________________________________________________________
_______________________________________
NOTARY PUBLIC
EXPIRATION OF COMMISSION
This affidavit and a $5.00 cashier’s check or money order may be mailed to:
Alabama Department of Revenue
Property Tax Division
P.O. Box 327210
Montgomery, AL 36132-7210